DEPARTMENT OF INSURANCE

Affiliations

Name	Racius, Tomas Christopher	DOIID	728113	NAIC NPN	9191782

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	5/11/2010	10/8/2018
Inactive	Non Resident	Agent	Life	5/11/2010	10/8/2018
Inactive	Non Resident	Agent	Casualty	5/11/2010	10/8/2018
Inactive	Non Resident	Agent	Property	5/11/2010	10/8/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	7/1/2013	10/8/2018
Inactive	ACE American Insurance Company	300625	Agent - Property	7/1/2013	10/8/2018
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	7/1/2013	10/8/2018
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	7/1/2013	10/8/2018
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	2/11/2011	10/8/2018
Inactive	AIG Property Casualty Company	300621	Agent - Property	2/11/2011	10/8/2018
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	5/27/2016	10/8/2018
Inactive	American Interstate Insurance Company	301092	Agent - Property	5/27/2016	10/8/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/23/2015	10/8/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/23/2015	10/8/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/23/2015	10/8/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/23/2015	10/8/2018
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	3/5/2012	11/29/2017
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	3/5/2012	11/29/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/12/2016	10/8/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/12/2016	10/8/2018
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	5/26/2013	10/25/2018
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	5/26/2013	10/25/2018
Inactive	Merchants Bonding Company (Mutual)	300170	Agent - Casualty	10/29/2010	10/5/2012
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	10/24/2013	1/21/2018
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	10/24/2013	1/21/2018
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	5/17/2012	1/21/2018
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	5/17/2012	1/21/2018
Inactive	RLI Insurance Company	301217	Agent - Casualty	7/13/2016	9/5/2017
Inactive	RLI Insurance Company	301217	Agent - Property	7/13/2016	9/5/2017
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	7/1/2013	10/8/2018
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	7/1/2013	10/8/2018
Inactive	Western Surety Company	300283	Agent - Casualty	12/9/2011	12/21/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Encova Insurance Agency	756843	Agent - Casualty	7/29/2011	10/8/2018
Inactive	Encova Insurance Agency	756843	Agent - Property	7/29/2011	10/8/2018